CN116705240A - Acupuncture rehabilitation effect quantification system based on rehabilitation state self-adaptive monitoring - Google Patents
Acupuncture rehabilitation effect quantification system based on rehabilitation state self-adaptive monitoring Download PDFInfo
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Abstract
The invention discloses an acupuncture rehabilitation effect quantification system based on rehabilitation state self-adaptive monitoring, which comprises: the acquisition module is used for acquiring the original rehabilitation state of the target patient; the adjusting module is used for adaptively adjusting the rehabilitation plan according to the original rehabilitation state to obtain a target rehabilitation plan; the monitoring module is used for performing acupuncture rehabilitation reference on the target patient through the target rehabilitation plan and monitoring the current rehabilitation state of the target patient; the design module is used for designing rehabilitation evaluation indexes so as to quantify the indexes of the acupuncture rehabilitation effects based on the current rehabilitation state. By the technical scheme, quantitative analysis of the rehabilitation effect can be realized, subjectivity of doctor evaluation is reduced, and pertinence and accuracy of rehabilitation can be improved.
Description
Technical Field
The invention relates to the technical field of rehabilitation training, in particular to an acupuncture rehabilitation effect quantification system based on rehabilitation state self-adaptive monitoring.
Background
The acupuncture can be applied to various aspects of rehabilitation medicine, and has good curative effects in treating paralysis and pain caused by various reasons, so that the acupuncture can be used for rehabilitation of patients and rehabilitation activities. The acupuncture is favorable for promoting the postoperative recovery of fracture patients, and researches show that the patients can improve local blood circulation, promote fracture healing and help the patients to recover health as soon as possible by being matched with acupuncture treatment in the fracture growth and closure process. In addition, the acupuncture treatment is used after the operation, so that the pain of a patient can be properly relieved, and the rehabilitation treatment condition can be improved. The acupuncture has good effect in treating hemiplegia caused by various factors. Such as cerebral palsy, apoplexy hemiplegia, facial nerve inflammation, etc. In the later rehabilitation process, the patient can stimulate local acupoints by using acupuncture, so that nerve cells of the patient awaken from sleep, and the blood and oxygen supply capacity is improved by improving local circulation, thereby promoting the limb function and muscle function of the patient to restore health.
The acupuncture has the characteristics of convenience and economy in rehabilitation medicine, and the special milli-needle is used for acupuncture treatment or moxibustion cauterization is carried out by means of mugwort and other medicaments, so that the acupuncture is more economical and practical compared with a plurality of complex rehabilitation medical instruments. However, at present, in the process of acupuncture rehabilitation, the effect of acupuncture rehabilitation of a patient cannot be quantitatively expressed, only subjective judgment of doctors is relied on, subjective identification is easy to cause deviation, and the condition of incomplete rehabilitation treatment is generated. Therefore, how to quantify the rehabilitation effect and quantitatively display the rehabilitation effect in the form of indexes is a problem to be solved urgently.
Disclosure of Invention
Aiming at the problems displayed above, the invention provides an acupuncture rehabilitation effect quantification system based on rehabilitation state self-adaptive monitoring, which is used for solving the problems that the effect of acupuncture rehabilitation of a patient cannot be quantified, which is mentioned in the background art, is only subjectively determined by a doctor, is easy to cause deviation and generates incomplete rehabilitation treatment.
An acupuncture rehabilitation effect quantification system based on rehabilitation state self-adaptive monitoring, comprising:
the acquisition module is used for acquiring the original rehabilitation state of the target patient;
the adjusting module is used for adaptively adjusting the rehabilitation plan according to the original rehabilitation state to obtain a target rehabilitation plan;
the monitoring module is used for performing acupuncture rehabilitation reference on the target patient through the target rehabilitation plan and monitoring the current rehabilitation state of the target patient;
the design module is used for designing rehabilitation evaluation indexes so as to quantify the indexes of the acupuncture rehabilitation effects based on the current rehabilitation state.
Preferably, the acquiring module includes:
the checking sub-module is used for checking the case record of the target patient and positioning the case record to the diagnosis result position so as to determine diagnosis result information;
The first evaluation sub-module is used for selecting a target function evaluation tool to perform function evaluation on the target patient to obtain function evaluation information;
the second evaluation sub-module is used for selecting a target pain evaluation tool to evaluate the pain degree of the target patient so as to obtain pain evaluation information;
the judging sub-module is used for judging whether the target patient needs to be subjected to medical image examination, if so, performing medical image examination to obtain medical image information, and determining a first original rehabilitation state of the target patient according to diagnosis result information, pain evaluation information and medical image information;
and if not, determining a second original rehabilitation state of the target patient according to the diagnosis result information and the pain evaluation information.
Preferably, the adjustment module includes:
the preparation submodule is used for preparing original acupuncture frequency, original acupuncture points, original needling technology, original needling parameters and original rehabilitation targets;
a first acquisition sub-module for acquiring a desired recovery state of the target patient;
the first adjusting sub-module is used for adjusting the original rehabilitation target through the expected recovery state to obtain a final rehabilitation target;
The second adjusting sub-module is used for combining the final rehabilitation target to adaptively adjust the original acupuncture frequency, the original acupuncture point, the original needling technology and the original needling parameter, so as to obtain the final acupuncture frequency, the final acupuncture point, the final needling technology and the final needling parameter, and generate a target rehabilitation plan.
Preferably, the monitoring module comprises:
the reference submodule is used for enabling the target patient to conduct acupuncture rehabilitation treatment reference through the target rehabilitation plan;
the evaluation and monitoring sub-module is used for periodically performing rehabilitation evaluation and monitoring in the process of acupuncture rehabilitation treatment to obtain evaluation and monitoring results;
the recording submodule is used for recording target data of the target patient in the rehabilitation process;
the first comparison sub-module is used for comparing the evaluation and monitoring result with the target data in a time scale to obtain rehabilitation progress information of the target patient;
and the determining submodule is used for determining the current rehabilitation state of the target patient according to the rehabilitation progress information.
Preferably, the design module comprises:
the setting submodule is used for setting objective sign evaluation indexes and determining the objective sign evaluation indexes as rehabilitation evaluation indexes;
The second acquisition submodule is used for respectively acquiring an original evaluation index and a final evaluation index of the target object according to the original rehabilitation state and the current rehabilitation state based on the rehabilitation evaluation index;
the second comparison sub-module is used for carrying out numerical comparison on the final evaluation index and the original evaluation index to obtain a comparison result;
the percentage change recording sub-module is used for recording the percentage change before and after rehabilitation treatment through the final evaluation index and the original evaluation index to obtain a percentage change result;
the reflecting sub-module is used for reflecting the target numerical value in the final evaluation index to a target scoring scale to obtain a rehabilitation score;
and the quantification sub-module is used for quantifying the acupuncture rehabilitation effect through the comparison result, the percentage change result and the rehabilitation score.
Preferably, the creating sub-module includes:
a first determining unit configured to determine a kind of disease suffered by the target patient;
a second determining unit, configured to preliminarily determine the number of times of acupuncture required to be performed weekly or monthly according to the disease type, to obtain the original acupuncture frequency;
the combination unit is used for preliminarily determining acupuncture point combinations according to the disease types and the acupuncture meridian ethics and clinical experience, so as to obtain the original acupuncture points;
A selection unit, configured to primarily select a target needling technique in meridian point stimulation, electric acupuncture, and moxibustion according to the disease type, so as to obtain the original needling technique;
the third determining unit is used for preliminarily determining the needling depth, the needling time and the stimulation intensity according to the disease types so as to obtain original needling parameters;
a fourth determination unit for preliminarily determining the original rehabilitation target based on historical empirical rehabilitation targets of other patients suffering from the disease category.
Preferably, the viewing sub-module includes:
the judging unit is used for acquiring the diagnosis result checking request of the target patient, judging whether the diagnosis result checking request is reasonable or not, if so, sending the diagnosis result checking request to a case record management place, and if not, rejecting the request, wherein the disease record is an electronic version;
the analysis unit is used for analyzing the diagnosis result checking request to obtain the name and the identity card number of the target patient;
the matching unit is used for matching the case records according to the name and the identity card number of the target patient, and checking the disease records of the target patient when the matching is completed;
The positioning unit is used for searching a special chapter for describing the disease result in the disease record and positioning the special chapter to the diagnosis result position;
and a fifth determining unit configured to determine the diagnosis result information at the diagnosis result position.
Preferably, an acupuncture rehabilitation effect quantification system based on rehabilitation status self-adaptive monitoring further comprises:
the pre-acquisition module is used for pre-acquiring a trunk image of the target patient and marking a preset number of trunk points on the trunk image;
the real-time acquisition module is used for acquiring trunk image information of the target patient in real time based on the preset number of trunk points;
the judging module is used for judging the variation range of the preset number of trunk points in the trunk image information in preset time, recording once if the variation range exceeds a preset threshold value, sending out warning reminding to indicate that the target patient is in an uncomfortable state if the number of times exceeding the preset threshold value is larger than the target number in the preset time, and generating an alarm reminding log;
and if the preset threshold value is not exceeded, acupuncture rehabilitation is normally carried out.
Preferably, during the process of performing an acupuncture rehabilitation reference by the target patient through the target rehabilitation program, the system is further configured to:
Determining the distribution and position information of acupuncture points of a target patient according to the target rehabilitation plan;
acquiring a back image of a target patient, determining a central point in the back image, and constructing a space coordinate system based on the central point;
determining the space coordinates of each acupuncture point in the space coordinate system according to the distribution and the position information of the acupuncture points of the target patient;
acquiring needling parameters of each acupuncture point based on the target rehabilitation plan, and acquiring standard manipulation operation parameters of each acupuncture point according to an operation sequence corresponding to the needling parameters;
performing action frame conversion processing on the standard manipulation parameters of each acupoint and generating a manipulation video according to the action frames;
acquiring relevant evaluation indexes of each stage of video in the technical operation video, and determining user aging state characteristics of each relevant evaluation index;
constructing a hierarchical manipulation analysis sequence set of each acupoint according to the relevant evaluation index of each stage video in the manipulation video of each acupoint and the user aging state characteristics of the relevant evaluation index;
collecting the mechanical parameters of the manipulation, the physical sign state parameters and the body surface state parameters of a target patient in the process of acupuncture on the target patient;
Analyzing action factors in the process of acupuncture on a target patient according to the manipulation mechanics parameters, analyzing the action factors based on a hierarchical manipulation analysis sequence set of each acupoint to determine whether the action factors accord with a standard or not, and if the action factors do not accord with the standard, sending out a reminder of nonstandard manipulation;
determining physical state characteristics of a target patient according to the physical state parameters and the body surface state parameters;
and determining fluctuation variation amplitude of the physical state characteristics, judging whether the target patient has an overdriving reaction according to the fluctuation variation amplitude, and if so, sending out an emergency prompt.
Preferably, the method further comprises: analyzing the acupuncture quantification index, obtaining an analysis result, and updating the physical condition information of the target patient according to the analysis result, wherein the analysis result comprises the following specific steps:
determining state change parameters of each acupuncture point of the target patient according to the acupuncture quantification indexes;
establishing a regularization effect evaluation model based on pathological parameters of a target patient, and assigning values to the state change parameters of each acupuncture point by using the regularization effect evaluation model to obtain an assignment result;
determining macroscopic effect factors of each acupuncture point according to the assignment result;
Acquiring a plurality of evaluation indexes of the macroscopic effect factors, and constructing an evaluation judgment matrix of each acupuncture point according to the plurality of evaluation indexes;
analyzing objective weights of matrix factors in the evaluation judgment matrix of each acupuncture point by using an analytic hierarchy process;
constructing an effect prediction model of each acupuncture point by using a linear regression method according to each matrix factor and objective weight in the evaluation judgment matrix of each acupuncture point;
obtaining quantization parameters of each acupuncture point according to the acupuncture quantization indexes, inputting the quantization parameters of each acupuncture point into an effect prediction model of the acupuncture point, and determining a predicted acupuncture effect of each acupuncture point;
acquiring a preset human meridian model, and determining the relative action relation among all acupuncture points according to the preset human meridian model;
determining the body condition development situation of the target patient based on the relative action relation among the acupuncture points and the predicted acupuncture effect of each acupuncture point;
analyzing the body condition development situation, and acquiring a body condition load characteristic parameter and a body condition recovery characteristic parameter of a target patient according to an analysis result;
and determining the physical condition information of the target patient according to the physical condition load characteristic parameter and the physical condition recovery characteristic parameter, and carrying out real-time synchronous update.
Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objectives and other advantages of the invention may be realized and attained by the structure particularly pointed out in the written description and drawings.
The technical scheme of the invention is further described in detail through the drawings and the embodiments.
Drawings
The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate the invention and together with the embodiments of the invention, serve to explain the invention.
Fig. 1 is a schematic structural diagram of an acupuncture rehabilitation effect quantification system based on rehabilitation status adaptive monitoring according to the present invention;
fig. 2 is a schematic structural diagram of an acquisition module in an acupuncture rehabilitation effect quantification system based on rehabilitation status adaptive monitoring according to the present invention;
fig. 3 is a schematic structural diagram of an adjustment module in an acupuncture rehabilitation effect quantification system based on rehabilitation status adaptive monitoring according to the present invention;
fig. 4 is a schematic structural diagram of a monitoring module in an acupuncture rehabilitation effect quantification system based on rehabilitation status adaptive monitoring according to the present invention.
Detailed Description
Reference will now be made in detail to exemplary embodiments, examples of which are illustrated in the accompanying drawings. When the following description refers to the accompanying drawings, the same numbers in different drawings refer to the same or similar elements, unless otherwise indicated. The implementations described in the following exemplary examples are not representative of all implementations consistent with the present disclosure. Rather, they are merely examples of apparatus and methods consistent with some aspects of the present disclosure as detailed in the accompanying claims.
The acupuncture can be applied to various aspects of rehabilitation medicine, and has good curative effects in treating paralysis and pain caused by various reasons, so that the acupuncture can be used for rehabilitation of patients and rehabilitation activities. The acupuncture is favorable for promoting the postoperative recovery of fracture patients, and researches show that the patients can improve local blood circulation, promote fracture healing and help the patients to recover health as soon as possible by being matched with acupuncture treatment in the fracture growth and closure process. In addition, the acupuncture treatment is used after the operation, so that the pain of a patient can be properly relieved, and the rehabilitation treatment condition can be improved. The acupuncture has good effect in treating hemiplegia caused by various factors. Such as cerebral palsy, apoplexy hemiplegia, facial nerve inflammation, etc. In the later rehabilitation process, the patient can stimulate local acupoints by using acupuncture, so that nerve cells of the patient awaken from sleep, and the blood and oxygen supply capacity is improved by improving local circulation, thereby promoting the limb function and muscle function of the patient to restore health.
The acupuncture has the characteristics of convenience and economy in rehabilitation medicine, and the special milli-needle is used for acupuncture treatment or moxibustion cauterization is carried out by means of mugwort and other medicaments, so that the acupuncture is more economical and practical compared with a plurality of complex rehabilitation medical instruments. However, at present, in the process of acupuncture rehabilitation, the effect of acupuncture rehabilitation of a patient cannot be quantitatively expressed, only subjective judgment of doctors is relied on, subjective identification is easy to cause deviation, and the condition of incomplete rehabilitation treatment is generated. Therefore, how to quantify the rehabilitation effect and quantitatively display the rehabilitation effect in the form of indexes is a problem to be solved urgently.
An acupuncture rehabilitation effect quantification system based on rehabilitation state self-adaptive monitoring, as shown in fig. 1, comprises:
an acquisition module 11 for acquiring an original rehabilitation state of a target patient;
the adjusting module 12 is configured to adaptively adjust a rehabilitation plan according to the original rehabilitation state, so as to obtain a target rehabilitation plan;
a monitoring module 13 for performing acupuncture rehabilitation reference on the target patient through the target rehabilitation plan and monitoring the current rehabilitation state of the target patient;
the design module 14 is configured to design a rehabilitation evaluation index to quantify an acupuncture rehabilitation effect based on the current rehabilitation status.
In this embodiment, the original rehabilitation state refers to the physical state of the target patient before rehabilitation.
In this embodiment, the current rehabilitation state refers to the physical state of the target patient during rehabilitation or the physical state of the target patient when rehabilitation is completed.
In this embodiment, the rehabilitation evaluation index is designed, and then the current rehabilitation state is quantitatively represented in the form of the index through the rehabilitation evaluation index, so that the quantification of the rehabilitation effect can be realized.
The working principle of the technical scheme is as follows: the method comprises the steps that an original rehabilitation state of a target patient is obtained through an obtaining module, and then a target rehabilitation plan is obtained through self-adaptive adjustment of the rehabilitation plan by an adjusting module according to the original rehabilitation state; providing a target rehabilitation plan for the target patient to perform acupuncture rehabilitation reference through a monitoring module, and monitoring the current rehabilitation state of the target patient; finally, the rehabilitation evaluation index is designed through the design module so as to quantify the index of the acupuncture rehabilitation effect based on the current rehabilitation state.
The beneficial effects of the technical scheme are as follows: firstly, acquiring an original rehabilitation state of a target patient, then, carrying out self-adaptive adjustment on a rehabilitation plan according to the original rehabilitation state to obtain a target rehabilitation plan, providing the target patient with acupuncture rehabilitation reference through the periods, monitoring the current rehabilitation state of the target patient, finally, designing a rehabilitation evaluation index, quantifying the index of the acupuncture rehabilitation effect, realizing quantitative analysis of the rehabilitation effect, reducing subjectivity of doctor evaluation, and improving pertinence and accuracy of rehabilitation.
In one embodiment, as shown in fig. 2, the acquiring module 11 includes:
a viewing sub-module 111, configured to view the case record of the target patient and locate to a diagnosis result position to determine diagnosis result information;
a first evaluation sub-module 112, configured to select a target function evaluation tool to perform function evaluation on the target patient, so as to obtain function evaluation information;
a second evaluation sub-module 113, configured to select a target pain evaluation tool to evaluate the pain degree of the target patient, so as to obtain pain evaluation information;
a judging sub-module 114, configured to judge whether the target patient needs to perform medical image examination, if so, perform medical image examination to obtain medical image information, and determine a first original rehabilitation state of the target patient according to the diagnosis result information, the pain evaluation information and the medical image information;
and if not, determining a second original rehabilitation state of the target patient according to the diagnosis result information and the pain evaluation information.
In this embodiment, case records refer to paper or electronic files on which doctors or medical institutions record patient conditions and treatment procedures, which generally include: personal information, complaints and medical history, physical examination, diagnosis and diagnostic results, treatment regimens and advances, and will and advice.
In this embodiment, the diagnosis result position refers to the position of the diagnosis result in the medical record.
In this embodiment, the first original rehabilitation state refers to the physical condition of the target patient before rehabilitation, but the bone or other tissues in the physical condition of the target patient are damaged to perform medical image examination, and the second original rehabilitation state is not performed medical image examination.
In this embodiment, the target function assessment tool may be a Wu Erli-his action coordination test assessment tool for assessing the action control function and coordination ability function of the patient.
In this embodiment, the target pain assessment tool may be an NRS numerical score, enabling assessment of pain level.
The beneficial effects of the technical scheme are as follows: the target function evaluation tool, the target pain evaluation tool and other professional evaluation tools are used for evaluation, so that the evaluation result is more authoritative and has more referential.
In one embodiment, as shown in FIG. 3, the adjustment module 12 includes:
a planning sub-module 121 for planning an original acupuncture frequency, an original acupuncture point, an original needling technique, an original needling parameter and an original rehabilitation target;
A first acquisition sub-module 122 for acquiring a desired recovery state of the target patient;
a first adjustment sub-module 123, configured to adjust the original rehabilitation target according to the expected recovery state, so as to obtain a final rehabilitation target;
the second adjusting sub-module 124 is configured to adaptively adjust the original acupuncture frequency, the original acupuncture point, the original needling technique, and the original needling parameter in combination with the final rehabilitation target, obtain the final acupuncture frequency, the final acupuncture point, the final needling technique, and the final needling parameter, and generate a target rehabilitation plan.
In this embodiment, the original needling technique includes, but is not limited to: stimulating channels and collaterals and acupoints, and performing electric acupuncture and moxibustion.
In this embodiment, the desired recovery state may be pain relief, functional recovery, and range of motion recovery.
In this embodiment, the final rehabilitation goal may be a significant reduction or disappearance of pain levels, restoration of function to normal or near normal levels, significant improvement in joint or muscle mobility and range of motion of the patient.
The beneficial effects of the technical scheme are as follows: the original rehabilitation target is prepared, then the original rehabilitation target is adjusted according to the expected recovery state of the patient, and the final rehabilitation target is obtained more humanized, accurate and normalized by combining the own ideas of the patient.
In one embodiment, as shown in FIG. 4, the monitoring module 13 includes:
a reference sub-module 131, configured to provide the target patient with an acupuncture rehabilitation reference through the target rehabilitation plan;
an evaluation and monitoring sub-module 132 for periodically performing rehabilitation evaluation and monitoring during the acupuncture rehabilitation treatment process to obtain an evaluation and monitoring result;
a recording sub-module 133 for recording target data of the target patient during rehabilitation;
a first comparing sub-module 134, configured to obtain rehabilitation progress information of the target patient by comparing the evaluation and monitoring result with the target data in a time scale;
a determination submodule 135 for determining a current rehabilitation status of the target patient from the rehabilitation progress information.
In this embodiment, the target rehabilitation program has determined the frequency of acupuncture, the determined acupoints, and the determined stimulation parameters.
In the present embodiment, since the rehabilitation therapy is a process, it takes several months for a slow time, and thus, it is necessary to perform rehabilitation evaluation and monitoring periodically, for example, once a week, and may include sleep quality evaluation, physical function evaluation, psychological state evaluation, and the like.
In this example, the recording of target data during rehabilitation of the target patient is also performed periodically, consistent with the time of evaluation and monitoring, with pain level data (recorded by the VAS pain score scale), physiological characteristic parameters.
In this embodiment, by comparing the evaluation and monitoring result with the target data on a time scale, instead of comparing the evaluation and monitoring result with the target data for a certain time, the evaluation and monitoring results for different periods, different phases, and the comparison of the target data for different periods, based on which the progress of rehabilitation, the change of rehabilitation, can be seen.
The beneficial effects of the technical scheme are as follows: the regular rehabilitation evaluation and monitoring of the target patient are realized through the evaluation and monitoring submodule, if abnormality occurs, an alarm is given in time, and the evaluation and monitoring result is compared with the target data through the first comparison module in a time scale, so that the progress of rehabilitation along with the time can be seen, the change of the physical condition of the patient can be obtained, finally, the current rehabilitation state of the patient is determined through the rehabilitation progress information based on the determination submodule, and the update of the rehabilitation state of the patient is realized.
In one embodiment, a design module includes:
the setting submodule is used for setting objective sign evaluation indexes and determining the objective sign evaluation indexes as rehabilitation evaluation indexes;
the second acquisition submodule is used for respectively acquiring an original evaluation index and a final evaluation index of the target object according to the original rehabilitation state and the current rehabilitation state based on the rehabilitation evaluation index;
the second comparison sub-module is used for carrying out numerical comparison on the final evaluation index and the original evaluation index to obtain a comparison result;
the percentage change recording sub-module is used for recording the percentage change before and after rehabilitation treatment through the final evaluation index and the original evaluation index to obtain a percentage change result;
the reflecting sub-module is used for reflecting the target numerical value in the final evaluation index to a target scoring scale to obtain a rehabilitation score;
and the quantification sub-module is used for quantifying the acupuncture rehabilitation effect through the comparison result, the percentage change result and the rehabilitation score.
In this embodiment, the objective sign evaluation index includes, but is not limited to: the extent of swelling in the painful part, which can be set to index 1, and non-swelling to 0; blood pressure index, heart rate index and respiration rate.
In this embodiment, the original evaluation index and the final evaluation index are both numerical values, and can be compared before and after recovery, the original evaluation index refers to the evaluation index collected before recovery, and the final evaluation index refers to the evaluation index collected after recovery. .
In this embodiment, the target values include, but are not limited to: blood pressure index, heart rate index and respiration rate, the target scoring scale refers to a list of names, numerical scales and normal and abnormal demarcations of each evaluation index.
In this embodiment, the rehabilitation effect is represented in the form of an index value by comparing the result, the percentage change result and the rehabilitation score, that is, the index value can realize quantification of the rehabilitation effect, and quantitatively represent the rehabilitation effect.
The beneficial effects of the technical scheme are as follows: by setting objective evaluation indexes, the physical condition of a patient can be better reflected, the comparison result can show the effect before and after rehabilitation, the percentage change result can show the change before and after rehabilitation, the numerical value is reflected on a target scoring scale, the scoring can be intuitively displayed as normal and abnormal, and finally the quantification of the rehabilitation effect can be realized through various numerical values, and the quantitative result can be displayed in multiple angles.
In one embodiment, the formulating sub-module includes:
a first determining unit configured to determine a kind of disease suffered by the target patient;
a second determining unit, configured to preliminarily determine the number of times of acupuncture required to be performed weekly or monthly according to the disease type, to obtain the original acupuncture frequency;
the combination unit is used for preliminarily determining acupuncture point combinations according to the disease types and the acupuncture meridian ethics and clinical experience, so as to obtain the original acupuncture points;
a selection unit, configured to primarily select a target needling technique in meridian point stimulation, electric acupuncture, and moxibustion according to the disease type, so as to obtain the original needling technique;
the third determining unit is used for preliminarily determining the needling depth, the needling time and the stimulation intensity according to the disease types so as to obtain original needling parameters;
a fourth determination unit for preliminarily determining the original rehabilitation target based on historical empirical rehabilitation targets of other patients suffering from the disease category.
In this embodiment, the disease categories include, but are not limited to: cervical spondylosis, insomnia and lumbar diseases, it is necessary to first determine the specific disease type of the target patient.
In this embodiment, if it is determined that the disease type is cervical spondylosis, the original acupuncture points may be Fengchi point, tianzhu point and Jianjing point.
In this embodiment, if it is determined that the disease type is cervical spondylosis, the original rehabilitation target is determined by referring to the historical experience rehabilitation targets of other patients, such as pain and inflammation reduction, cervical function recovery, blood circulation improvement and nerve compression reduction, and may be cervical function recovery and nerve compression reduction.
The beneficial effects of the technical scheme are as follows: firstly, determining the disease type of a target patient through a first determining unit, only knowing the pain position of the patient clearly, taking medicine for the patient to treat the disease, and then selecting a target needling technology through the disease type in a selecting unit, determining an acupuncture mode with the best treatment effect on the patient, accelerating the recovery speed and relieving pain of the disease; and finally, determining an original rehabilitation target for doctors and patients to refer to, so that the patients can recover the diseases more optimistically.
In one embodiment, a viewing sub-module includes:
the judging unit is used for acquiring the diagnosis result checking request of the target patient, judging whether the diagnosis result checking request is reasonable or not, if so, sending the diagnosis result checking request to a case record management place, and if not, rejecting the request, wherein the disease record is an electronic version;
The analysis unit is used for analyzing the diagnosis result checking request to obtain the name and the identity card number of the target patient;
the matching unit is used for matching the case records according to the name and the identity card number of the target patient, and checking the disease records of the target patient when the matching is completed;
the positioning unit is used for searching a special chapter for describing the disease result in the disease record and positioning the special chapter to the diagnosis result position;
and a fifth determining unit configured to determine the diagnosis result information at the diagnosis result position.
In the present embodiment, the diagnosis result viewing request includes, but is not limited to: the diagnosis result of the target patient is checked to see the requirement, the personal basic information of the target patient, such as name, identification card number, telephone number and the like.
In the present embodiment, the diagnosis result information includes, but is not limited to: diagnosis of primary disease in a patient by a physician, diagnosis of secondary disease in a patient by a physician, diagnostic code, description of condition, diagnostic comments or advice.
The beneficial effects of the technical scheme are as follows: the diagnosis result checking request is reasonable or not, namely, whether the request has authority or not is judged through the judging unit, the follow-up diagnosis result obtaining query can be carried out after the request is reasonable, the safety of disease information of a patient is ensured, and the personal privacy of the patient is ensured.
In one embodiment, further comprising:
the pre-acquisition module is used for pre-acquiring a trunk image of the target patient and marking a preset number of trunk points on the trunk image;
the real-time acquisition module is used for acquiring trunk image information of the target patient in real time based on the preset number of trunk points;
the judging module is used for judging the variation range of the preset number of trunk points in the trunk image information in preset time, recording once if the variation range exceeds a preset threshold value, sending out warning reminding to indicate that the target patient is in an uncomfortable state if the number of times exceeding the preset threshold value is larger than the target number in the preset time, and generating an alarm reminding log;
and if the preset threshold value is not exceeded, acupuncture rehabilitation is normally carried out.
In this embodiment, torso points include, but are not limited to: middle point, wrist point, foot point, knee point.
In this embodiment, the preset time may be set to 5s, and a scene is preset, for example, the target patient lies on the bed, the trunk point and the footstep point are located under the bed, if the footstep point is about to move 20cm above the bed, the threshold is determined to be exceeded once, because when the patient is uncomfortable, the patient will perform a continuous action, and if the action is repeated 3 times within 5s, the patient is determined to be in an uncomfortable state.
The beneficial effects of the technical scheme are as follows: by setting the trunk point and judging that the number of times of repeatedly exceeding the threshold value is greater than the target number in the preset time, a warning prompt is sent out to remind medical staff or family members that the target of the patient is in an uncomfortable state, and rehabilitation adjustment is needed or is stopped.
In one embodiment, during the process of acupuncture rehabilitation referencing by the target patient via the target rehabilitation program, the system is further for:
determining the distribution and position information of acupuncture points of a target patient according to the target rehabilitation plan;
acquiring a back image of a target patient, determining a central point in the back image, and constructing a space coordinate system based on the central point;
determining the space coordinates of each acupuncture point in the space coordinate system according to the distribution and the position information of the acupuncture points of the target patient;
acquiring needling parameters of each acupuncture point based on the target rehabilitation plan, and acquiring standard manipulation operation parameters of each acupuncture point according to an operation sequence corresponding to the needling parameters;
performing action frame conversion processing on the standard manipulation parameters of each acupoint and generating a manipulation video according to the action frames;
Acquiring relevant evaluation indexes of each stage of video in the technical operation video, and determining user aging state characteristics of each relevant evaluation index;
constructing a hierarchical manipulation analysis sequence set of each acupoint according to the relevant evaluation index of each stage video in the manipulation video of each acupoint and the user aging state characteristics of the relevant evaluation index;
collecting the mechanical parameters of the manipulation, the physical sign state parameters and the body surface state parameters of a target patient in the process of acupuncture on the target patient;
analyzing action factors in the process of acupuncture on a target patient according to the manipulation mechanics parameters, analyzing the action factors based on a hierarchical manipulation analysis sequence set of each acupoint to determine whether the action factors accord with a standard or not, and if the action factors do not accord with the standard, sending out a reminder of nonstandard manipulation;
determining physical state characteristics of a target patient according to the physical state parameters and the body surface state parameters;
and determining fluctuation variation amplitude of the physical state characteristics, judging whether the target patient has an overdriving reaction according to the fluctuation variation amplitude, and if so, sending out an emergency prompt.
In this embodiment, the distribution of acupuncture points is represented as information of distribution of back points of the target patient to be acupuncture;
In this embodiment, the position information is represented as specific coordinate point information of the acupoints on the back where the target patient needs to perform acupuncture;
in the present embodiment, the needling parameters are expressed as parameter information such as the probe specification and the penetration depth for each acupuncture point;
in this embodiment, the standard manipulation parameters are expressed as standard motion parameters for manual manipulation of each acupuncture point;
in the present embodiment, the phase video is represented as a video corresponding to a plurality of operation phases at the time of performing the acupuncture of each acupuncture point;
in the present embodiment, the relevant evaluation index is a reference evaluation index for evaluating the operation qualification of the human for each operation stage;
in this embodiment, the user aging state characteristic is expressed as a physical state aging performance characteristic of the user under each reference evaluation index;
in this embodiment, the manipulation mechanics parameters are expressed as manipulation force and turn signal parameters when needling each acupuncture point of the target patient;
in this embodiment, the physical sign status parameter is expressed as a status fluctuation parameter of each index inside the body of the target patient;
in this embodiment, the body surface state parameter is expressed as a state fluctuation parameter of each index outside the body of the target patient;
In the present embodiment, the physical state characteristics are expressed as physical expression state display characteristics of the target patient.
The beneficial effects of the technical scheme are as follows: the reliability and the specialty of acupuncture can be guaranteed through carrying out qualified aassessment to the manipulation parameter of target patient in the acupuncture process, avoid causing the emergence of extra painful condition to target patient, improved practicality and experience sense, and further, whether there is the overstress to target patient through judging target patient can realize the real-time physical monitoring to target patient, have improved security and user's experience sense.
In one embodiment, the method further comprises: analyzing the acupuncture quantification index, obtaining an analysis result, and updating the physical condition information of the target patient according to the analysis result, wherein the analysis result comprises the following specific steps:
determining state change parameters of each acupuncture point of the target patient according to the acupuncture quantification indexes;
establishing a regularization effect evaluation model based on pathological parameters of a target patient, and assigning values to the state change parameters of each acupuncture point by using the regularization effect evaluation model to obtain an assignment result;
determining macroscopic effect factors of each acupuncture point according to the assignment result;
Acquiring a plurality of evaluation indexes of the macroscopic effect factors, and constructing an evaluation judgment matrix of each acupuncture point according to the plurality of evaluation indexes;
analyzing objective weights of matrix factors in the evaluation judgment matrix of each acupuncture point by using an analytic hierarchy process;
constructing an effect prediction model of each acupuncture point by using a linear regression method according to each matrix factor and objective weight in the evaluation judgment matrix of each acupuncture point;
obtaining quantization parameters of each acupuncture point according to the acupuncture quantization indexes, inputting the quantization parameters of each acupuncture point into an effect prediction model of the acupuncture point, and determining a predicted acupuncture effect of each acupuncture point;
acquiring a preset human meridian model, and determining the relative action relation among all acupuncture points according to the preset human meridian model;
determining the body condition development situation of the target patient based on the relative action relation among the acupuncture points and the predicted acupuncture effect of each acupuncture point;
analyzing the body condition development situation, and acquiring a body condition load characteristic parameter and a body condition recovery characteristic parameter of a target patient according to an analysis result;
and determining the physical condition information of the target patient according to the physical condition load characteristic parameter and the physical condition recovery characteristic parameter, and carrying out real-time synchronous update.
In this embodiment, the state change parameter is represented as a change parameter of a body region where each acupuncture point is located, for example: muscle relaxation, tightness, etc.;
in the present embodiment, the regularized effect evaluation model is represented as an acupuncture effect evaluation model under compliance with acupuncture rules;
in this embodiment, the macroscopic effect factor is expressed as a macroscopic effect observation factor for each acupuncture point;
in the present embodiment, the evaluation judgment matrix is expressed as a set of evaluation factor matrices for the acupuncture effect of each acupuncture point;
in this embodiment, the quantization parameter is expressed as a specific parameter of each acupuncture point quantization index;
in this embodiment, the relative action relationship is expressed as a relative influence relationship when acupuncture is performed simultaneously between the respective acupuncture points;
in this embodiment, the body condition development situation is expressed as the development situation of the body condition of the target patient before and after the acupuncture treatment is performed;
in the present embodiment, the body condition load characteristic parameter is represented as a relevant parameter exhibiting load characteristics among the body condition performance parameters of the target patient;
in the present embodiment, the body condition recovery characteristic parameter is expressed as a relevant parameter exhibiting recovery characteristics among the body condition performance parameters of the target patient.
The beneficial effects of the technical scheme are as follows: by carrying out real-time evaluation on the physical state of the target patient according to the acupuncture quantification result, the acupuncture effect evaluation on the target patient can be realized, so that the target patient provides reference for subsequent pathological treatment, and the experience of the user is further improved.
Other embodiments of the disclosure will be apparent to those skilled in the art from consideration of the specification and practice of the disclosure disclosed herein. This application is intended to cover any adaptations, uses, or adaptations of the disclosure following, in general, the principles of the disclosure and including such departures from the present disclosure as come within known or customary practice within the art to which the disclosure pertains. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the disclosure being indicated by the following claims.
It is to be understood that the present disclosure is not limited to the precise arrangements and instrumentalities shown in the drawings, and that various modifications and changes may be effected without departing from the scope thereof. The scope of the present disclosure is limited only by the appended claims.
Claims (10)
1. Acupuncture rehabilitation effect quantification system based on rehabilitation state self-adaptive monitoring, which is characterized by comprising:
The acquisition module is used for acquiring the original rehabilitation state of the target patient;
the adjusting module is used for adaptively adjusting the rehabilitation plan according to the original rehabilitation state to obtain a target rehabilitation plan;
the monitoring module is used for performing acupuncture rehabilitation reference on the target patient through the target rehabilitation plan and monitoring the current rehabilitation state of the target patient;
the design module is used for designing rehabilitation evaluation indexes so as to quantify the indexes of the acupuncture rehabilitation effects based on the current rehabilitation state.
2. The rehabilitation effect quantification system based on the adaptive monitoring of the rehabilitation state according to claim 1, wherein the acquisition module comprises:
the checking sub-module is used for checking the case record of the target patient and positioning the case record to the diagnosis result position so as to determine diagnosis result information;
the first evaluation sub-module is used for selecting a target function evaluation tool to perform function evaluation on the target patient to obtain function evaluation information;
the second evaluation sub-module is used for selecting a target pain evaluation tool to evaluate the pain degree of the target patient so as to obtain pain evaluation information;
the judging sub-module is used for judging whether the target patient needs to be subjected to medical image examination, if so, performing medical image examination to obtain medical image information, and determining a first original rehabilitation state of the target patient according to diagnosis result information, pain evaluation information and medical image information;
And if not, determining a second original rehabilitation state of the target patient according to the diagnosis result information and the pain evaluation information.
3. The rehabilitation effect quantification system based on the adaptive monitoring of rehabilitation status according to claim 1, wherein the adjustment module comprises:
the preparation submodule is used for preparing original acupuncture frequency, original acupuncture points, original needling technology, original needling parameters and original rehabilitation targets;
a first acquisition sub-module for acquiring a desired recovery state of the target patient;
the first adjusting sub-module is used for adjusting the original rehabilitation target through the expected recovery state to obtain a final rehabilitation target;
the second adjusting sub-module is used for combining the final rehabilitation target to adaptively adjust the original acupuncture frequency, the original acupuncture point, the original needling technology and the original needling parameter, so as to obtain the final acupuncture frequency, the final acupuncture point, the final needling technology and the final needling parameter, and generate a target rehabilitation plan.
4. The rehabilitation effect quantification system based on the adaptive monitoring of rehabilitation status according to claim 1, wherein the monitoring module comprises:
The reference submodule is used for enabling the target patient to conduct acupuncture rehabilitation treatment reference through the target rehabilitation plan;
the evaluation and monitoring sub-module is used for periodically performing rehabilitation evaluation and monitoring in the process of acupuncture rehabilitation treatment to obtain evaluation and monitoring results;
the recording submodule is used for recording target data of the target patient in the rehabilitation process;
the first comparison sub-module is used for comparing the evaluation and monitoring result with the target data in a time scale to obtain rehabilitation progress information of the target patient;
and the determining submodule is used for determining the current rehabilitation state of the target patient according to the rehabilitation progress information.
5. The rehabilitation effect quantification system based on the adaptive monitoring of rehabilitation status according to claim 1, wherein the design module comprises:
the setting submodule is used for setting objective sign evaluation indexes and determining the objective sign evaluation indexes as rehabilitation evaluation indexes;
the second acquisition submodule is used for respectively acquiring an original evaluation index and a final evaluation index of the target object according to the original rehabilitation state and the current rehabilitation state based on the rehabilitation evaluation index;
the second comparison sub-module is used for carrying out numerical comparison on the final evaluation index and the original evaluation index to obtain a comparison result;
The percentage change recording sub-module is used for recording the percentage change before and after rehabilitation treatment through the final evaluation index and the original evaluation index to obtain a percentage change result;
the reflecting sub-module is used for reflecting the target numerical value in the final evaluation index to a target scoring scale to obtain a rehabilitation score;
and the quantification sub-module is used for quantifying the acupuncture rehabilitation effect through the comparison result, the percentage change result and the rehabilitation score.
6. The rehabilitation effect quantification system based on the adaptive monitoring of rehabilitation state according to claim 3, wherein the creating sub-module comprises:
a first determining unit configured to determine a kind of disease suffered by the target patient;
a second determining unit, configured to preliminarily determine the number of times of acupuncture required to be performed weekly or monthly according to the disease type, to obtain the original acupuncture frequency;
the combination unit is used for preliminarily determining acupuncture point combinations according to the disease types and the acupuncture meridian ethics and clinical experience, so as to obtain the original acupuncture points;
a selection unit, configured to primarily select a target needling technique in meridian point stimulation, electric acupuncture, and moxibustion according to the disease type, so as to obtain the original needling technique;
The third determining unit is used for preliminarily determining the needling depth, the needling time and the stimulation intensity according to the disease types so as to obtain original needling parameters;
a fourth determination unit for preliminarily determining the original rehabilitation target based on historical empirical rehabilitation targets of other patients suffering from the disease category.
7. The rehabilitation effect quantification system based on adaptive monitoring of rehabilitation status according to claim 2, wherein the viewing sub-module comprises:
the judging unit is used for acquiring the diagnosis result checking request of the target patient, judging whether the diagnosis result checking request is reasonable or not, if so, sending the diagnosis result checking request to a case record management place, and if not, rejecting the request, wherein the disease record is an electronic version;
the analysis unit is used for analyzing the diagnosis result checking request to obtain the name and the identity card number of the target patient;
the matching unit is used for matching the case records according to the name and the identity card number of the target patient, and checking the disease records of the target patient when the matching is completed;
the positioning unit is used for searching a special chapter for describing the disease result in the disease record and positioning the special chapter to the diagnosis result position;
And a fifth determining unit configured to determine the diagnosis result information at the diagnosis result position.
8. The rehabilitation effect quantification system based on the adaptive monitoring of rehabilitation status according to claim 1, further comprising:
the pre-acquisition module is used for pre-acquiring a trunk image of the target patient and marking a preset number of trunk points on the trunk image;
the real-time acquisition module is used for acquiring trunk image information of the target patient in real time based on the preset number of trunk points;
the judging module is used for judging the variation range of the preset number of trunk points in the trunk image information in preset time, recording once if the variation range exceeds a preset threshold value, sending out warning reminding to indicate that the target patient is in an uncomfortable state if the number of times exceeding the preset threshold value is larger than the target number in the preset time, and generating an alarm reminding log;
and if the preset threshold value is not exceeded, acupuncture rehabilitation is normally carried out.
9. The rehabilitation effect quantification system based on adaptive monitoring of rehabilitation status according to claim 1, wherein during the process of providing the target patient with an acupuncture rehabilitation reference by the target rehabilitation plan, the system is further configured to:
Determining the distribution and position information of acupuncture points of a target patient according to the target rehabilitation plan;
acquiring a back image of a target patient, determining a central point in the back image, and constructing a space coordinate system based on the central point;
determining the space coordinates of each acupuncture point in the space coordinate system according to the distribution and the position information of the acupuncture points of the target patient;
acquiring needling parameters of each acupuncture point based on the target rehabilitation plan, and acquiring standard manipulation operation parameters of each acupuncture point according to an operation sequence corresponding to the needling parameters;
performing action frame conversion processing on the standard manipulation parameters of each acupoint and generating a manipulation video according to the action frames;
acquiring relevant evaluation indexes of each stage of video in the technical operation video, and determining user aging state characteristics of each relevant evaluation index;
constructing a hierarchical manipulation analysis sequence set of each acupoint according to the relevant evaluation index of each stage video in the manipulation video of each acupoint and the user aging state characteristics of the relevant evaluation index;
collecting the mechanical parameters of the manipulation, the physical sign state parameters and the body surface state parameters of a target patient in the process of acupuncture on the target patient;
Analyzing action factors in the process of acupuncture on a target patient according to the manipulation mechanics parameters, analyzing the action factors based on a hierarchical manipulation analysis sequence set of each acupoint to determine whether the action factors accord with a standard or not, and if the action factors do not accord with the standard, sending out a reminder of nonstandard manipulation;
determining physical state characteristics of a target patient according to the physical state parameters and the body surface state parameters;
and determining fluctuation variation amplitude of the physical state characteristics, judging whether the target patient has an overdriving reaction according to the fluctuation variation amplitude, and if so, sending out an emergency prompt.
10. The rehabilitation effect quantification system based on the adaptive monitoring of rehabilitation status according to claim 1, wherein the method further comprises: analyzing the acupuncture quantification index, obtaining an analysis result, and updating the physical condition information of the target patient according to the analysis result, wherein the analysis result comprises the following specific steps:
determining state change parameters of each acupuncture point of the target patient according to the acupuncture quantification indexes;
establishing a regularization effect evaluation model based on pathological parameters of a target patient, and assigning values to the state change parameters of each acupuncture point by using the regularization effect evaluation model to obtain an assignment result;
Determining macroscopic effect factors of each acupuncture point according to the assignment result;
acquiring a plurality of evaluation indexes of the macroscopic effect factors, and constructing an evaluation judgment matrix of each acupuncture point according to the plurality of evaluation indexes;
analyzing objective weights of matrix factors in the evaluation judgment matrix of each acupuncture point by using an analytic hierarchy process;
constructing an effect prediction model of each acupuncture point by using a linear regression method according to each matrix factor and objective weight in the evaluation judgment matrix of each acupuncture point;
obtaining quantization parameters of each acupuncture point according to the acupuncture quantization indexes, inputting the quantization parameters of each acupuncture point into an effect prediction model of the acupuncture point, and determining a predicted acupuncture effect of each acupuncture point;
acquiring a preset human meridian model, and determining the relative action relation among all acupuncture points according to the preset human meridian model;
determining the body condition development situation of the target patient based on the relative action relation among the acupuncture points and the predicted acupuncture effect of each acupuncture point;
analyzing the body condition development situation, and acquiring a body condition load characteristic parameter and a body condition recovery characteristic parameter of a target patient according to an analysis result;
And determining the physical condition information of the target patient according to the physical condition load characteristic parameter and the physical condition recovery characteristic parameter, and carrying out real-time synchronous update.
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117133404A (en) * | 2023-10-25 | 2023-11-28 | 深圳市前海蛇口自贸区医院 | Intelligent rehabilitation nursing device to thorax export syndrome |
| CN117198488A (en) * | 2023-11-08 | 2023-12-08 | 天津中医药大学第一附属医院 | Acupuncture instrument service efficiency evaluation system based on Internet of things |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN117133404A (en) * | 2023-10-25 | 2023-11-28 | 深圳市前海蛇口自贸区医院 | Intelligent rehabilitation nursing device to thorax export syndrome |
| CN117133404B (en) * | 2023-10-25 | 2024-02-20 | 深圳市前海蛇口自贸区医院 | Intelligent rehabilitation nursing device to thorax export syndrome |
| CN117198488A (en) * | 2023-11-08 | 2023-12-08 | 天津中医药大学第一附属医院 | Acupuncture instrument service efficiency evaluation system based on Internet of things |
| CN117198488B (en) * | 2023-11-08 | 2024-01-26 | 天津中医药大学第一附属医院 | Acupuncture instrument service efficiency evaluation system based on Internet of things |
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